Affinity maturated tag72 specific single chain antibodies

ABSTRACT

Disclosed are compositions and methods for targeted treatment of TAG-72-expressing cancers. In particular, affinity maturated single chain variable fragment (scFv) antibodies that bind TAG-72 on cancer cells are disclosed.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application claims benefit of U.S. Provisional Application No. 62/371,018, filed Aug. 4, 2016, and Application No. 62/449,892, filed Jan. 24, 2017, which are hereby incorporated herein by reference in their entirety.

BACKGROUND

Surgery, radiation therapy, and chemotherapy have been the standard accepted approaches for treatment of cancers including leukemia, solid tumors, and metastases. Immunotherapy (sometimes called biological therapy, biotherapy, or biological response modifier therapy), which uses the body's immune system, either directly or indirectly, to shrink or eradicate cancer has been studied for many years as an adjunct to conventional cancer therapy. It is believed that the human immune system is an untapped resource for cancer therapy and that effective treatment can be developed once the components of the immune system are property harnessed.

SUMMARY

Disclosed herein are affinity maturated single chain variable fragment (scFv) antibodies that bind TAG-72 on cancer cells with higher affinity than prior TAG-72 scFv antibodies. In some cases, the bispecific antibody has a dissociation constant (K_(D)) for TAG-72 that is less than 50 nM, 40 nM, 30 nM, 25 nM, 20 nM, 15 nM, or 10 nM.

The affinity/specificity of the binding construct is driven in large part by specific sequences within complementarity determining regions (CDRs) in the heavy (V_(H)) and light (V_(L)) chain. Each V_(H) and V_(L) sequence will have three CDRs (CDR1, CDR2, CDR3). In some embodiments, the TAG-72 V_(H) domain comprises the following CDR domains: CDR1: DHAIH (SEQ ID NO:1), and CDR3: LNMAY (SEQ ID NO:2). In some cases, the CDR2 domain is selected from the group consisting of WIGYFSPGNDDFRYNERFKG (SEQ ID NO:3), WIGYFSPGNDDFKYNERYKG (SEQ ID NO:4), and WIGYFSPGNNDFKYNERFKG (SEQ ID NO:5).

In some embodiments, the V_(H) domain of the disclosed TAG-72 scFv antibodies comprises the amino acid sequence: QVQLX₁X₂SX₃X₄X₅X₆X₇X₈PX₉X₁₀X₁₁X₁₂X₁₃X₁₄X₁₅CX₁₆X₁₇SGYTFTX₁₈DHAIHWVX₁₉Q X₂₀PX₂₁X₂₂X₂₃LWEX₂₄GYX₂₅SPX₂₆NX₂₇DX₂₈X₂₉YX₃₀X₃₁X₃₂X₃₃X₃₄GX₃₅X₃₆TX₃₇X₃₈X₃₉D X₄₀X₄₁X₄₂X₄₃X₄₄X₄₅

X₄₆X₄₇X₄₈LX₄₉SX₅₀X₅₁X₅₂X₅₃DX₅₄AVYX₅₅CX₅₆RSX₅₇X₅₈X₅₉X₆₀X₆₁WGQGX₆₂ X₆₃X₆₄TVSS (SEQ ID NO:47), wherein at least one of X₂₇=D or N, X₂₉=K or R, X₃₃=F or Y, or any combination thereof; and wherein X₁=V or Q; X₂=Q or E; X₃=D or G; X₄=A or P; X₅=E or G; X₆=L or V; X₇=V or K; X₈=K or R; X₉=G or S; X₁₀=A or Q; X₁₁=S or T; X₁₂=V or L; X₁₃=K or S; X₁₄=I, L or V; X₁₅=S or T; X₁₆=K or T; X₁₇=A or V; X₁₈=T or nothing; X₁₉=K or R; X₂₀=N, K, P, or A; X₂₁=E or G; X₂₂=Q or R; X₂₃=G or R; X₂₄=I or M; X₂₅=F or I; X₂₆=G or Q; X₂₈=F or I; X₃₀=N or S; X₃₁=E or Q; X₃₂=R or K; X₃₄=K or Q; X₃₅=K or R; X₃₆=A or V; X₃₇=L, M, or I; X₃₈=T or L; X₃₉=A, V, or R; X₄₀=K or T; X₄₁=S or P; X₄₂=S, A, or K; X₄₃=S or N; X₄₄=T or Q; X₄₅=A, V, or F; X₄₆=Y or S; X₄₇=V M, or L; X₄₈=Q, E, or R; X₄₉=N or S; X₅₀=L or V; X₅₁=T, P, or R; X₅₂=S or A; X₅₃=E, N, or A; X₅₄=S or T; X₅₅=F or Y; X₅₆=T, R. or A; X₅₇=L, F, or Y; X₅₈=N, Y, or S; X₅₉=M or G; X₆₀=A, N, D or H: X₆₁=Y, S, or nothing; X₆₂=T or S; X₆₃=S, T, or L; and X₆₄=V or L.

Therefore, in some cases, the CDR2 domain comprises the amino acid sequence WX₂₄G YX₂₅SPX₂₆NX₂₇DX₂₈X₂₉YX₃₀X₃₁X₃₂X₃₃X₃₄G (SEQ ID NO:23), wherein at least one of X₂₇=D or N, X₂₉=K or R, X₃₃=F or Y, or any combination thereof; and wherein X₂₄=I or M; X₂₅=F or I; X₂₆=G or Q; X₂₈e=F or I; X₃₀=N or S; X₃₁=E or Q; X₃₂=R or K; X₃₄=K or Q.

In some cases, the TAG-72 V_(H) domain is selected from the group consisting of:

(SEQ ID NO: 24) QVQLQQSDAELVKPGASVKISCKASGYTFTDHAIHWVKQNPEQGLEWIGY FSPGNX₁DFX₂YNERX₃KGKATLTADKSSSTAYVQLNSLTSEDSAVYFCT RSLNMAYWGQGTSVTVSS; (SEQ ID NO: 25) QVQLQQSDAELVKPGASVKISCKASGYTFTTDHAIHWVKQNPEQGLEWIG YFSPQNX₁DFX₂YNERX₃KGKATLTADKSSSTAYVQLNSLTSNDSAVYFC TRSLNMAYWGQGTSVTVSS; (SEQ ID NO: 26) QVQLQQSDAELVKPGASVKISCKASGYTFTTDHAIHWVKQNPEQGLEWIG YISPQNX₁DIX₂YNEKX₃KGKATLTADKSSSTAYMQLNSLTSNDSAVYFC RRSFYGN-WGQGTTLTVSS; (SEQ ID NO: 27) QVQLQQSDAELVKPGASVKISCKASGYTFTTDHAIHWVKQKPEQGLEWIG YISPQNX₁DIX₂YNEKX₃KGKATLTADKPSNTVYMQLNSLTSNDSAVYFC TRSLSGDSWGQGTTLTVSS; (SEQ ID NO: 28) QVQLVQSGAEVVKPGASVKISCKASGYTFTDHAIHWVKQNPGQRLEWIGY FSPGNX₁DFX₂YNERX₃KGKATLTADTSASTAYVELSSLPSEDTAVYFCT RSLNMAYWGQGTLVTVSS; (SEQ ID NO: 29) QVQLQESGPGLVRPSQTLSLTCTVSGYTFTDHAIHWVRQPPGRGLEWIGY ISPGNX₁DIX₂YNEKX₃KGRVTMLVDTSKNQFSLRLSSVTAADTAVYYCA RSYYGH-WGQGSLVTVSS; (SEQ ID NO: 30) QVQLVQSGAEVVKPGASVKISCKASGYTFTDHAIHWVKQNPGQRLEWIGY FSPGNX₁DFX₂YSQKX₃QGKATLTADTSASTAYVELSSLRSEDTAVYFCT RSLNMAYWGQGTLVTVSS; (SEQ ID NO: 31) QVQLVQSGAEVVKPGASVKVSCKASGYTFTDHAIHWVRQNPGQRLEWMG YFSPGNX₁DFX₂YSQKX₃QGRVTITADTSASTAYMELSSLRSEDTAVYFC TRSLNMAYWGQGTLVTVSS; (SEQ ID NO: 32) QVQLVQSGAEVKKPGASVKVSCKASGYTFTDHAIHWVRQAPGQRLEWMG YFSPGNX₁DFX₂YSQKX₃QGRVTITADTSASTAYMELSSLRSEDTAVYFC TRSLNMAYWGQGTLVTVSS; (SEQ ID NO: 33) QVQLQQSDAELVKPGASVKISCKASGYTFTDHAIHWVKQNPEQGLEWIGY FSPGNX₁DFX₂YNERX₃KGKATLTADKSSSTAYVQLNSLTSEDSAVYFCT RSLNMAYWGQGTTLTVSS; (SEQ ID NO: 34) QVQLVQSGAEVKKPGASVKVSCKASGYTFTDHAIHWVRQAPGQRLEWMG YFSPGNX₁DFX₂YSQKX₃QGRVTITADKSASTAYMELSSLRSEDTAVYYC ARSLNMAYWGQGTLVTVSS; (SEQ ID NO: 35) QVQLVQSGAEVKKPGASVKVSCKASGYTFTDHAIHWVRQAPGQRLEWMG YFSPGNX₁DFX₂YSQKX₃QGRVTITRDKSASTAYMELSSLRSEDTAVYYC ARSLNMAYWGQGTLVTVSS; (SEQ ID NO: 36) QVQLVQSGAEVKKPGASVKVSCKASGYTFTDHAIHWVRQAPGQRLEWMG YFSPGNX₁DFX₂YSQKX₃QGRVTITADTSASTAYMELSSLRSEDTAVYYC ARSLNMAYWGQGTLVTVSS; and (SEQ ID NO: 37) QVQLVQSGAEVKKPGASVKVSCKASGYTFTDHAIHWVRQAPGQRLEWMG YFSPGNX₁DFX₂YSQKX₃QGRVTITRDTSASTAYMELSSLRSEDTAVYYC ARSLNMAYWGQGTLVTVSS;

wherein at least one of X₁=D or N, X₂=K or R, X₃=F or Y, or any combination thereof.

In some cases, the TAG-72 V_(H) domain is selected from the group consisting of:

(SEQ ID NO: 6) QVQLOQSDAELVKPGASVKISCKASGYTFTDHAIHWVKQNPEQGLEWIGY FSPGNDDFRYNERFKGKATLTADKSSSTAYVQLNSLTSEDSAVYECTRSL NMAYWGQGTSVTVSS; (SEQ ID NO: 7) QVQLQQSDAELVKPGASVKISCKASGYTFTDHAIHWVKQNPEQGLEWIGY FSPGNDDFKYNERYKGKATLTADKSSSTAYVQLNSLTSEDSAVYFCTRSL NMAYWGQGTSVTVSS; and (SEQ ID NO: 8) QVQLQQSDAELVKPGASVKISCKASGYTFTDHAIHWVKQNPEQGLEWIGY FSPGNNDFKYNERFKGKATLTADKSSSTAYVQLNSLTSEDSAVYFCTRSL NMAYWGQGTSVTVSS.

In some embodiments, the TAG-72 V_(L) domain comprises the following CDR domains: CDR1: KSSQSLLYSGNQKNYLA (SEQ ID NO:9), CDR2: WASARES (SEQ ID NO:10), and CDR3: QQYYSYPLT (SEQ ID NO:11). In some embodiments, the TAG-72 V_(L) domain comprises the CDR1 domain KSSQSLLYSGNHKNYLA (SEQ ID NO:12). In some embodiments, when the CDR2 sequence of the TAG-72 V_(H) domain has the amino acid sequence SEQ ID NO:3, the CDR1 sequence of the TAG-72 V_(L) domain has the amino acid sequence SEQ ID NO:12.

In some cases, the TAG-72 V_(L) domain comprises the amino acid sequence DIVMX₁QSPX₂SLX₃VSX₄GX₅KX₆TX₇X₈CKSSQSX₉LYSX₁₀NHKNYLAWYQQKPGQX₁₁PKLLIYWASX₁₂RESGVPDRFX₁₃GSGSGTDFTLX₁₄ISSX₁₅X₁₆X₁₇EDX₁₈AVYYCQQY YSYPLTFGX₁₉GTKX₂₀X₂₁X₂₂K (SEQ ID NO:38), wherein X₁=S or T; X₂=S or D; X₃=P or A; X₄=L or V; X₅=E or D; X₆=V or A; X₇=L or I; X₈=S or N; X₉=L or V; X₁₀=G or S; X₁₁=S or P; X₁₂=A or T; X₁₃=T or S; X₁₄=S or T; X₁₅=V or L; X₁₆=K or Q; X₁₇=T or A; X₁₈=L or V; X₁₉=A or Q; X₂₀=L or V; X₂₁=V or E; and X₂₂=L or I.

Therefore, in some cases, the the TAG-72 V_(L) domain comprises the CDR1 domain KSSQSX₁LYSX₂NHKNYLA (SEQ ID NO: 39), wherein X₁=L or V, and X₂=G or S.

In some cases, the TAG-72 V_(L) domain is selected from the group consisting of:

(SEQ ID NO: 13) DIVMSQSPSSLPVSVGEKVTLSCKSSQSLLYSGNHKNYLAWYQQKPGQSP KLLIYWASARESGVPDRFTGSGSGTDFTLSISSVKTEDLAVYYCQQYYSY PLTFGAGTKLVLK, and (SEQ ID NO: 14) DIVMSQSPSSLPVSVGEKVTLSCKSSQSLLYSGNQKNYLAWYQQKPGQSP KLLIYWASARESGVPDRFTGSGSGTDFTLSISSVKTEDLAVYYCQQYYSY PLTFGAGTKLVLK.

In some cases, the TAG-72 V_(L) domain is selected from the group consisting of:

(SEQ ID NO: 40) DIVMSQSPDSLAVSLGERVTLNCKSSQSLLYSGNHKNYLAWYQQKPGQSP KLLIYWASARESGVPDRFSGSGSGTDFTLTISSVQAEDVAVYYCQQYYSY PLTFGAGTKLELK; (SEQ ID NO: 41) DIVMSQSPDSLAVSLGERVTLNCKSSQSVLYSGNHKNYLAWYQQKPGQSP KLLIYWASARESGVPDRFSGSGSGTDFTLTISSVQAEDVAVYYCQQYYSY PLTFGAGTKLELK; (SEQ ID NO: 42) DIVMSQTPDSLAVSLGERATINCKSSQSVLYSGNHKNYLAWYQQKPGQSP KLLIYWASARESGVPDRFSGSGSGTDFTLTISSLQAEDVAVYYCQQYYSY PLTFGAGTKLEIK; (SEQ ID NO: 43) DIVMSQTPDSLAVSLGERATINCKSSQSVLYSGNHKNYLAWYQQKPGQPP KLLIYWASARESGVPDRFSGSGSGTDFTLTISSLQAEDVAVYYCQQYYSY PLTFGQGTKLEIK; (SEQ ID NO: 44) DIVMSQSPSSLPVSVGDKVTLSCKSSQSLLYSGNHKNYLAWYQQKPGQSP KLLIYWASARESGVPDRFTGSGSGTDFTLSISSVKTEDLAVYYCQQYYSY PLTFGAGTKLVIK; (SEQ ID NO: 45) DIVMTQSPDSLAVSLGERATINCKSSQSVLYSSNHKNYLAWYQQKPGQPP KLLIYWASTRESGVPDRFSGSGSGTDFTLTISSLQAEDVAVYYCQQYYSY PLTFGGGTKVEIK; and (SEQ ID NO: 46) DIVMTQSPDSLAVSLGERATINCKSSQSVLYSGNHKNYLAWYQQKPGQPP KLLIYWASTRESGVPDRFSGSGSGTDFTLTISSLQAEDVAVYYCQQYYSY PLTFGGGTKVEIK.

The V_(H) and V_(L) domains of the TAG-72 scFv antibodies are preferably separated by a peptide linker. In some embodiments, the peptide linker comprises the amino acid sequence LSADDAKKDAAKKDDAKKDDAKKDL (SEQ ID NO: 15).

Therefore, in some embodiments, the disclosed TAG-72 scFv antibodies have an amino acid sequence selected from the group consisting of:

(SEQ ID NO: 16) DIVMSQSPSSLPVSVGEKVTLSCKSSQSLLYSGNHKNYLAWYQQKPGQSP KLLIYWASARESGVPDRFTGSGSGTDFTLSISSVKTEDLAVYYCQQYYSY PLTFGAGTKLVLKLSADDAKKDAAKKDDAKKDDAKKDLQVQLQQSDAELV KPGASVKISCKASGYTFTDHAIHWVKQNPEQGLEWIGYFSPGNDDFRYNE RFKGKATLTADKSSSTAYVQLNSLTSEDSAVYFCTRSLNMAYWGQGTSVT VSS, (SEQ ID NO: 17) DIVMSQSPSSLPVSVGEKVTLSCKSSQSLLYSGNQKNYLAWYQQKPGQSP KLLIYWASARESGVPDRFTGSGSGTDFTLSISSVKTEDLAVYYCQQYYSY PLTFGAGTKLVLKLSADDAKKDAAKKDDAKKDDAKKGLQVQLQQSDAELV KPGASVKISCKASGYTFTDHAIHWVKQNPEQGLEWIGYFSPGNDDFKYNE RYKGKATLTADKSSSTAYVQLNSLTSEDSAVYFCTRSLNMAYWGQGTSVT VSS, (SEQ ID NO: 18) DIVMSQSPSSLPVSVGEKVTLSCKSSQSLLYSGNQKNYLAWYQQKPGQSP KLLIYWASARESGVPDRFTGSGSGTDFTLSISSVKTEDLAVYYCQQYYSY PLTFGAGTKLVLKLSADDAKKDAAKKDDAKKDDAKKDLQVQLQQSDAELV KPGASVKISCKASGYTFTDHAIHWVKQNPEQGLEWIGYFSPGNNDFKYNE RFKGKATLTADKSSSTAYVQLNSLTSEDSAVYFCTRSLNMAYWGQGTSVT VSS.

Also disclosed are bispecific antibodies that are able to engage T-cells to destroy TAG-72-expressing malignant cells. The antibodies can be engineered from fusion polypeptides comprising 1) variable domains of antibodies that specifically bind an immune cell antigen and 2) the disclosed variable domains that specifically bind TAG-72. In some embodiments, the antibody is a diabody (fusion polypeptide) having, for example, the following formula:

V_(L)I-V_(H)T & V_(L)T-V_(H)I, or

V_(H)I-V_(L)T & V_(H)T-V_(L)I,

wherein “V_(L)I” is a light chain variable domain specific for an immune cell antigen;

wherein “V_(H)T” is a heavy chain variable domain specific for TAG-72 disclosed herein;

wherein “V_(L)T” is a light chain variable domain specific for TAG-72 disclosed herein;

wherein “V_(H)I” is a heavy chain variable domain specific for the immune cell antigen; and

wherein “-” consists of a peptide linker or a peptide bond.

In some embodiments, the antibody is a Bispecific T-Cell Engaging (BiTE) antibody (fusion polypeptide) having, for example, the following formula:

V_(L)I-V_(H)I-V_(L)T-V_(H)T,

V_(H)I-V_(L)I-V_(H)T-V_(L)T,

V_(L)I-V_(H)I-V_(H)T-V_(L)T, or

V_(H)I-V_(L)I-V_(L)T-V_(H)T,

wherein “V_(L)I” is a light chain variable domain specific for an immune cell antigen;

wherein “V_(H)T” is a heavy chain variable domain specific for TAG-72;

wherein “V_(L)T” is a light chain variable domain specific for TAG-72;

wherein “V_(H)I” is a heavy chain variable domain specific for the immune cell antigen;

wherein “-” consists of a peptide linker or a peptide bond; and

wherein “--” consists of a peptide linker or a peptide bond.

The immune cell antigen can be a cell surface molecule that is expressed on human NK cells, T cells, monocytes, macrophages or granulocytes. For example, the cell surface molecule can be antigen CD2, CD3, CD16, CD64, CD89; NKp30, NKp44, NKp46, NKp80 (KLR-F1), NKG2C or NKG2D.

Also disclosed is an isolated nucleic acid encoding the disclosed fusion polypeptide, as well as nucleic acid vectors containing this isolated nucleic acid operably linked to an expression control sequence. Also disclosed are cells transfected with these vectors and the use of these cells to produce the disclosed fusion polypeptides.

A bi-specific antigen binding molecule can be formed from dimerization of heavy and light chains. In these embodiments, the V_(L)I dimerizes with V_(H)I to form an antigen binding site for an immune cell antigen (e.g., CD3) and the V_(H)T dimerizes with V_(L)T to form an antigen binding site for TAG-72.

Also disclosed is a bispecific antibody that is a single polypeptide chain comprising a bispecific antibody having a first antigen-binding region and a second antigen-binding region. In some cases, the first antigen-binding region is capable of recruiting the activity of a human immune effector cell by specifically binding to an immune cell antigen located on the human immune effector cell; and the second antigen-binding region is capable of specifically binding to TAG-72 on a target cell.

Each of the first and second portions can comprise 1, 2, 3, or more antibody variable domains. In particular embodiments, each of the first and second portions contains two variable domains, a variable heavy (V_(H)) domain and a variable light (V_(L)) domain.

Each of the first and second portions can be derived from natural antibodies, such as monoclonal antibodies. In some cases, the antibody is human. In some cases, the bispecific antibody has undergone an alteration to render it less immunogenic when administered to humans. For example, the alteration comprises one or more techniques selected from the group consisting of chimerization, humanization, CDR-grafting, deimmunization, and mutation of framework amino acids to correspond to the closest human germline sequence.

Currently, the most widely used technique for antibody human adaptation is known as “CDR grafting.” The scientific basis of this technology is that the binding specificity of an antibody resides primarily within the three hypervariable loops known as the complementarity determining regions (CDRs) of its light and heavy chain variable regions (V-regions), whereas the more conserved framework regions (framework, FW; framework region, FR) provide structure support function. By grafting the CDRs to an appropriately selected FW, some or all of the antibody-binding activity can be transferred to the resulting recombinant antibody.

CDR grafting is the selection of a most appropriate human antibody acceptor for the graft. Various strategies have been developed to select human antibody acceptors with the highest similarities to the amino acid sequences of donor CDRs or donor FW, or to the donor structures. All these “best fit” strategies, while appearing very rational, are in fact based on one assumption, i.e., a resulting recombinant antibody that is most similar (in amino acid sequence or in structure) to the original antibody will best preserve the original antigen binding activity.

Not all amino acids in the CDRs are involved in antigen binding. Thus, it has been proposed that the grafting of only those residues that are critical in antigen-antibody interaction—the so-called specificity determining residues grafting (SDR-grafting)-will further increase the content of human antibody sequences in the resulting recombinant antibody. The application of this strategy requires information on the antibody structure as well as antibody-antigen contact residues, which are quite often unavailable. Even when such information is available, there is no systematic method to reliably identify the SDRs, and SDR-grafting remains so far mostly at the basic research level.

Recently, a strategy called “human framework shuffling” has been developed. This technique works by ligating DNA fragments encoding CDRs to DNA fragments encoding human FR1, FR2, FR3, and FR4, thus generating a library of all combinations between donor CDRs and human FRs. Methods for making human-adapted antibodies based on molecular structures, modeling and sequences for human engineering of antibody molecules are disclosed in U.S. Pat. No. 8,748,356, which is incorporated by reference for these methods.

The effector cell recruited by the bispecific antibody is one capable of exerting a cytotoxic or an apoptotic effect on a target cell. In some embodiments, the human effector cell can in some embodiments be a member of the human lymphoid lineage or myeloid lineage. As an example, for lymphoid cells, the immune cell antigen can be selected from the group consisting of human CD3 antigen, human CD16 antigen, human NKG2D antigen, human CD2 antigen, human CD28 antigen, and human CD25 antigen. Similarly, for myeloid cells, the immune cell antigen can be human CD64 antigen or human CD89 antigen.

Also disclosed is a pharmaceutical composition comprising a molecule disclosed herein in a pharmaceutically acceptable carrier. Also disclosed is a method for treating cancer in a subject that involves administering to the subject a therapeutically effective amount of a disclosed pharmaceutical composition. Also disclosed is a kit comprising an antibody disclosed herein.

Also disclosed is an expression vector comprising an isolated nucleic acid encoding an antibody disclosed herein operably linked to an expression control sequence. Also disclosed is a cell comprising the disclosed expression vector. The cell can be a primary cell, transformed cell, cell line, or the like. In some cases, the cell is a mammalian cell line. In some cases, the cell is a non-mammalian cell line. For example, the cell can be a bacteria or insect cell line.

The details of one or more embodiments of the invention are set forth in the accompanying drawings and the description below. Other features, objects, and advantages of the invention will be apparent from the description and drawings, and from the claims.

DESCRIPTION OF DRAWINGS

FIGS. 1A and 1B show binding of scFvs Ab3890 and Ab3891 to biotinylated antigen S FIG. 1A) and unmodified antigen S (FIG. 1B).

FIGS. 2A and 2B show phage binding of scFvs Ab3890 and Ab3891 to biotinylated antigen S FIG. 2A) and unmodified antigen S (FIG. 2B).

FIGS. 3A and 3B show binding of scFvs Ab3891, Ab4116, Ab4117, and Ab4118 to unmodified antigen S (FIG. 3A) and biotinylated antigen S (FIG. 3B).

FIGS. 4A to 4D show dissociation constants (KD) for Ab3891 (FIG. 4A), Ab4116 (FIG. 4B), Ab4117 (FIG. 4C), and Ab4118 (FIG. 4D) as determined by Alpha Screen.

FIG. 5 is a flow cytometry plot showing untreated MCF-7 (target) cells as negative control.

FIG. 6 is a flow cytometry plot showing MCF-7 cells treated with bispecific antibody (pilot) at conc of 10 μg/ml.

FIG. 7 are flow cytometry plots showing MCF-7 (target) cells treated with normal human CD8 T (effector) cells at 1:5 T to E ratio.

FIG. 8 are flow cytometry plots showing MCF-7 (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody (pilot) at conc of 1 μg/ml.

FIG. 9 are flow cytometry plots showing MCF-7 (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody (pilot) at conc of 5 ug/ml.

FIG. 10 are flow cytometry plots showing MCF-7 (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody (pilot) at conc of 10 ug/ml.

FIG. 11 is a flow cytometry plot showing untreated KLE (target) cells as negative control.

FIG. 12 is a flow cytometry plot showing KLE (target) cells treated with bispecific antibody (pilot) at conc of 10 μg/ml.

FIG. 13 are flow cytometry plots showing KLE (target) cells treated with normal human CD8 T (effector) cells at 1:5 T to E ratio.

FIG. 14 are flow cytometry plots showing KLE (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody (pilot) at conc of 5 ug/ml.

FIG. 15 are flow cytometry plots showing KLE (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody (pilot) at conc of 10 ug/ml.

FIG. 16 is a flow cytometry plot showing untreated MDA-231 (target) cells as negative control.

FIG. 17 is a flow cytometry plot showing MDA-231 cells treated with bispecific antibody (pilot) at conc of 10 μg/ml.

FIG. 18 are flow cytometry plots showing MDA-231 (target) cells treated with normal human CD8 T (effector) cells at 1:5 T to E ratio.

FIG. 19 are flow cytometry plots showing MDA-231 (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody (pilot) at conc of 1 ug/ml.

FIG. 20 are flow cytometry plots showing MDA-231 (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody (pilot) at conc of 5 ug/ml.

FIG. 21 are flow cytometry plots showing MDA-231 (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody (pilot) at conc of 10 ug/m.

FIG. 22 is a flow cytometry plot showing untreated SKBR3 (target) cells as negative control.

FIG. 23 is a flow cytometry plot showing SKBR3 cells treated with bispecific antibody at conc of 10 μg/ml.

FIG. 24 are flow cytometry plots showing SKBR3 (target) cells treated with normal human CD8 T (effector) cells at 1:5 T to E ratio.

FIG. 25 are flow cytometry plots showing SKBR3 (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody at conc of 1 ug/ml.

FIG. 26 are flow cytometry plots showing SKBR3 (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody at conc of 5 ug/ml.

FIG. 27 are flow cytometry plots showing SKBR3 (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody at conc of 10 ug/ml.

FIG. 28 are flow cytometry plots showing untreated MCF-7 (target) cells as negative control.

FIG. 29 are flow cytometry plots showing MCF-7 cells treated with bispecific antibody at conc of 5 μg/ml.

FIG. 30 are flow cytometry plots showing MCF-7 (target) cells treated with Pembro (5 μM).

FIG. 31 are flow cytometry plots showing MCF-7 (target) cells treated with Nivo (5 μM).

FIG. 32 are flow cytometry plots showing MCF-7 (target) cells treated with normal human CD8 T (effector) cells at 1:5 T to E ratio.

FIG. 33 are flow cytometry plots showing MCF-7 (target) cells treated with normal human CD8 T (effector) cells at 1:5 T to E ratio+Pembro (5 μM).

FIG. 34 are flow cytometry plots showing MCF-7 (target) cells treated with normal human CD8 T (effector) cells at 1:5 T to E ratio+Nivo (5 μM).

FIG. 35 are flow cytometry plots showing MCF-7 (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody at conc of 5 ug/ml.

FIG. 36 are flow cytometry plots showing MCF-7 (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody at conc of 5 ug/ml+Pembro (5 μM).

FIG. 37 are flow cytometry plots showing MCF-7 (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody at conc of 5 ug/ml+Nivo (5 μM).

FIG. 38 is a flow cytometry plot showing untreated MDA-231 (target) cells as negative control.

FIG. 39 is a flow cytometry plot showing MDA-231 cells treated with bispecific antibody at conc of 5 μg/ml.

FIG. 40 is a flow cytometry plot showing MDA-231 (target) cells treated with Pembro (5 μM).

FIG. 41 is a flow cytometry plot showing MDA-231 (target) cells treated with Nivo (5 μM).

FIG. 42 are flow cytometry plots showing MDA-231 (target) cells treated with normal human CD8 T (effector) cells at 1:5 T to E ratio.

FIG. 43 are flow cytometry plots showing MDA-231 (target) cells treated with normal human CD8 T (effector) cells at 1:5 T to E ratio+Pembro (μM).

FIG. 44 are flow cytometry plots showing MDA-231 (target) cells treated with normal human CD8 T (effector) cells at 1:5 T to E ratio+Nivo (μM).

FIG. 45 are flow cytometry plots showing MDA-231 (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody at conc of 5 ug/ml.

FIG. 46 are flow cytometry plots showing MDA-231 (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody at conc of 5 ug/ml+Pembro (5 μM).

FIG. 47 are flow cytometry plots showing MDA-231 (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody at conc of 5 ug/ml+Nivo (5 μM).

FIG. 48 is a flow cytometry plot showing untreated MDA-175VII (target) cells as negative control.

FIG. 49 is a flow cytometry plot showing MDA-175VII cells treated with bispecific antibody (pilot) at conc of 5 μg/ml.

FIG. 50 are flow cytometry plots showing MDA-175VII (target) cells treated with normal human CD8 T (effector) cells at 1:5 T to E ratio.

FIG. 51 are flow cytometry plots showing MDA-175VII (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody (pilot) at conc of 5 ug/ml.

FIG. 52 is a flow cytometry plot showing Untreated Ls-174T (target) cells as negative control.

FIG. 53 is a flow cytometry plot showing Ls-174T cells treated with bispecific antibody (pilot) at conc of 5 μg/ml.

FIG. 54 are flow cytometry plots showing Ls-174T (target) cells treated with normal human CD8 T (effector) cells at 1:5 T to E ratio.

FIG. 55 are flow cytometry plots showing Ls-174T (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody (pilot) at conc of 5 ug/ml.

FIG. 56 is a flow cytometry plot showing untreated MCF-7 (target) cells as negative control.

FIG. 57 is a flow cytometry plot showing MCF-7 cells treated with bispecific antibody at conc of 5 μg/ml.

FIG. 58 is a flow cytometry plot showing MCF-7 (target) cells treated with visudyne (1 μM).

FIG. 59 is a flow cytometry plot showing MCF-7 (target) cells treated with visudyne (2 μM).

FIG. 60 is a flow cytometry plot showing MCF-7 (target) cells treated with visudyne (5 μM).

FIG. 61 are flow cytometry plots showing MCF-7 (target) cells treated with normal human CD8 T (effector) cells at 1:5 T to E ratio.

FIG. 62 are flow cytometry plots showing MCF-7 (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody (pilot) at conc of 5 ug/ml.

FIG. 63 are flow cytometry plots showing MCF-7 (target) cells treated with normal human CD8 T (effector) cells+visudyne (1 μM).

FIG. 64 are flow cytometry plots showing MCF-7 (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody (pilot) at conc of 5 ug/ml+visudyne (11 μM).

FIG. 65 are flow cytometry plots showing MCF-7 (target) cells treated with normal human CD8 T (effector) cells+visudyne (2 μM).

FIG. 66 are flow cytometry plots showing MCF-7 (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody (pilot) at conc of 5 ug/ml+visudyne (2 μM).

FIG. 67 are flow cytometry plots showing MCF-7 (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+visudyne (5 μM).

FIG. 68 are flow cytometry plots showing MCF-7 (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody (pilot) at conc of 5 ug/ml+visudyne (5 μM).

FIG. 69 is a flow cytometry plot showing untreated MDA-231 (target) cells as negative control

FIG. 70 is a flow cytometry plot showing MDA-231 cells treated with bispecific antibody at conc of 5 μg/ml.

FIG. 71 is a flow cytometry plot showing MDA-231 (target) cells treated with visudyne (1 μM).

FIG. 72 is a flow cytometry plot showing MDA-231 (target) cells treated with visudyne (2 μM).

FIG. 73 is a flow cytometry plot showing MDA-231 (target) cells treated with visudyne (5 μM).

FIG. 74 are flow cytometry plots showing MDA-231 (target) cells treated with normal human CD8 T (effector) cells at 1:5 T to E ratio.

FIG. 75 are flow cytometry plots showing MDA-231 (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody (pilot) at conc of 5 ug/ml.

FIG. 76 are flow cytometry plots showing MDA-231 (target) cells treated with normal human CD8 T (effector) cells+visudyne (1 μM).

FIG. 77 are flow cytometry plots showing MDA-231 (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody (pilot) at conc of 5 ug/ml+visudyne (1 μM).

FIG. 78 are flow cytometry plots showing MDA-231 (target) cells treated with normal human CD8 T (effector) cells+visudyne (2 μM).

FIG. 79 are flow cytometry plots showing MDA-231 (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody (pilot) at conc of 5 ug/ml+visudyne (2 μM).

FIG. 80 are flow cytometry plots showing MDA-231 (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+visudyne (5 μM).

FIG. 81 are flow cytometry plots showing MDA-231 (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody (pilot) at conc of 5 ug/ml+visudyne (5 μM).

FIGS. 82A to 82C are flow cytometry plots showing CC49 expression in MCF-7 cells untreated as isotype control (FIG. 82A), stained (FIG. 82B), or FACS sorted for CC49 expression and passaged over time (FIG. 82C).

FIGS. 83A to 83F are flow cytometry plots showing 6×His tag expression for BiTe antibody binding to MCF-7 (CC49+ve) cells untreated as isotype control (FIG. 83A), treated with bispecific antibody old pilot (FIG. 83B), clone Ab4116 (FIG. 83C), clone Ab4117 (FIG. 83D), clone Ab4118 (FIG. 83E), and clone Ab3891 (FIG. 83F).

FIGS. 84A to 83E are flow cytometry plots showing 6×His tag expression for BiTe antibody binding to MCF-7 (CC49+ve FACS sorted) cells treated with bispecific antibody old pilot (FIG. 83A), clone Ab4116 (FIG. 83B), clone Ab4117 (FIG. 83C), clone Ab4118 (FIG. 83D), and clone Ab3891 (FIG. 83E).

FIG. 85 is a flow cytometry plot showing untreated MCF-7 (target) cells as negative control.

FIG. 86 is a flow cytometry plot showing MCF-7 (target) cells treated with bispecific antibody (old pilot) at conc of 5 μg/ml.

FIG. 87 is a flow cytometry plot showing MCF-7 (target) cells treated with bispecific antibody (clone Ab4116) at conc of 5 μg/ml.

FIG. 88 is a flow cytometry plot showing MCF-7 (target) cells treated with bispecific antibody (clone Ab4117) at conc of 5 μg/ml.

FIG. 89 is a flow cytometry plot showing MCF-7 (target) cells treated with bispecific antibody (clone Ab4118) at conc of 5 μg/ml.

FIG. 90 is a flow cytometry plot showing MCF-7 (target) cells treated with bispecific antibody (clone Ab3891) at conc of 5 μg/ml.

FIG. 91 are flow cytometry plots showing MCF-7 (target) cells treated with normal human CD8 T (effector) cells at 1:5 T to E ratio.

FIG. 92 are flow cytometry plots showing MCF-7 (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody (old pilot) at conc of 5 ug/ml.

FIG. 93 are flow cytometry plots showing MCF-7 (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody (clone Ab4116) at conc of 5 ug/ml.

FIG. 94 are flow cytometry plots showing MCF-7 (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody (clone Ab4117) at conc of 5 ug/ml.

FIG. 95 are flow cytometry plots showing MCF-7 (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody (clone Ab4118) at conc of 5 ug/ml.

FIG. 96 are flow cytometry plots showing MCF-7 (target) cells treated with normal human CD8 T (effector) cells at 1:5 of T to E ratio+bispecific antibody (clone Ab3891) at conc of 5 ug/ml.

DETAILED DESCRIPTION

Disclosed are compositions and methods for targeted treatment of TAG-72-expressing cancers. In particular, disclosed herein are affinity maturated single chain variable fragment (scFv) antibodies that bind TAG-72 on cancer cells with higher affinity than prior TAG-72 scFv antibodies. These antibodies can be used alone. However, in some cases, the disclosed antibodies are conjugated to a therapeutic moiety for selective killing of TAG-72 expressing cancer cells.

Antibody-Drug Conjugates

Immunotoxins and antibody-drug conjugates are protein-based drugs combining a target-specific binding domain with a cytotoxic domain. Such compounds are potentially therapeutic against diseases including cancer, and several clinical trials have shown encouraging results.

Immunotoxins

Immunotoxins are protein-based therapeutics comprising at least two functional domains, one allowing them to bind specific target cells, and one that kills the cells following internalization.

Plants and fungi produce a number of molecules with defensive functions, to protect themselves against pathogens, such as microorganisms, and predators, such as insects. These defense proteins include ribosome-inactivating proteins, which are capable of inhibiting RNA translation. A broad spectrum of activities, encompassing antiproliferative, antitumor, immunomodulatory, antiviral, antifungal and anti-insect activities, have been attributed to these proteins.

These include, for example, holotoxins (RIPs type II) composed of a catalytic “A-chain” disulfide-bonded to binding “B-chains”, and “hemitoxins” (RIPs type I), such as gelonin, saporin, etc., containing only a catalytic chain. The bacterial toxins Pseudomonas exotoxin (PE) and difteria toxin (DT) are single-chain proteins, containing both binding and catalytic domains. Both plant and bacterial toxins are able to bind to the cell surface, and can internalize into endosomes, translocate into the cytosol, and catalytically inhibit ribosomes, which kills the cell by apoptosis.

Type II RIPs have been isolated from plants belonging to the Asteridae, Liliidae, Magnoliidae and Rosidae, the bulk belonging to the Asteridae. They are divided into toxic type II RIPs and non-toxic type II RIPs. The toxic ones include ricin from Ricinus communis, abrin from Abrus precatorius, volkensin from Adenia volkensii, and modeccin from Adenia digitata. Nigrins from Sambus nigra, and ebulin from S. ebulus are non-toxic RIPs. Nigrin b has much higher cell-free translation inhibitory potency, but much lower in vitro cytotoxicity and in vivo toxicity, than does ricin, due to the replacement of Tyr 249 in ricin by Phe in ebulin 1. Agglutinin-I from Abrus precatorius seeds is a type II RIP, with greatly attenuated toxicity compared with abrin, another type II RIP isolated from the same seeds, due to replacement of Asn-200 in abrin with Pro-199 in agglutinin I.

Type I RIPs have been isolated, most often from seeds and sometimes from leaves and roots of plants belonging to the Asteridae, Caryophyllidae, Liliidae, Magnoliidae, and Rosidae, the greatest number being isolated from the Rosidae, which comprises Cucurbitacea, Euphorbiaceae and Fabaceae.

In the last twenty years, RIPs of new structure have been isolated from flowering plants and mushrooms. Some of these RIPs possess a molecular mass in the vicinity of 20 kDa and an N-terminal amino acid sequence that is distinctly different from those of the 30-kDa type I RIPs, which often demonstrate remarkable homology to one another. Small RIPs with a molecular mass of 10 kDa or below have been purified from the seeds of several gourds, which are members of the Cucurbitaceae. These are characterized by an abundance of arginine and glutamate or glutamine residues. Mushrooms produce RIPs with various molecular masses. The N-terminal sequences of some of the mushroom RIPs isolated to date are similar to one another, but others are widely dissimilar. These new RIPs generally exhibit biological activities similar to those of type I RIPs.

Type I RIPs with small molecular mass have been isolated from plants both in the Cucurbitaceae family and outside it. Mushrooms and other fungi also produce type I RIPs. The N-terminal amino acid sequences of these low-molecular-mass single-chained plant type I RIPs and mushroom type I RIPs, are distinct from those of classical type I and type II RIPs from plants. The biological activities of these low-molecular-mass type I RIPs, which include, alongside translation-inhibitory, also N-glycosidase and antifungal activities, await full elucidation. The active site residues of RIPs are distinct from the antigenic site residues, and RIPs with fully-preserved biological activities, but with decreased immunogenicity, have been produced. Other modern anticancer approaches concerning toxins are based on transcriptional targeting and protease specific targeting (Protease activated toxins).

Antibody Drug Conjugates

Antibody-drug conjugates (ADCs) are anticancer treatment agents that combines the selectivity of targeted treatment with the cytotoxic potency of chemotherapy drugs. In some cases, the disclosed scFv antibodies that bind TAG-72 are combined with one or more therapeutic moieties, such a chemotherapy drugs that are capable of killing TAG-72 expressing cancer cells.

Optimal chemotherapy drugs for ADC should be extremely potent, being effective at picomolar or nanomolar concentrations. There are two main categories of cytotoxic drugs used in ADC development: microtubule inhibitors and DNA-damaging drugs. Auristatins block tubulin assembly and cause G2/M phase cell cycle arrest. Monomethyl auristatin E, an auristatin derivative (MMAE) is the cytotoxic payload of brentuximab vendotin and has a free drug IC₅₀: 10⁻¹¹-10⁻⁹ allowing it to be effective in the low nanomolar range. Maytansinoids, another class of tubulin inhibitors, have also been used successfully in the ADC development. The cytotoxic payload of trastuzumab emtansine (T-DM1) DM1 is a highly potent maytansinoid, developed by Immunogen, with a free drug IC₅₀: 10⁻¹¹-10⁻⁹. Another maytansinoid drug, DM4 incorporated on SAR3419, is being investigated in phase II trials exhibiting significant ‘bystander effect’ as the ADC's metabolites have lipophilic properties allowing crossing of the cellular membrane. Tubulysins are a promising new class of tubulin inhibitors. Tubulisin analogues were successfully conjugated to trastuzumab forming a stable and potent ADC. The DNA-damaging agents have the ability to be active throughout the different cell cycle phases. Duocarmycin is a powerful cytotoxic alkylating compound that binds to the minor groove of DNA and has shown activity against various multidrug-resistant models. Duocarmycin-based ADCs are currently under investigation in a phase 1 trial setting conjugated to the anti-HER-2 antibody, trastuzumab.

Calicheamicin is a potent anti-tumor antibiotic that causes double-strand DNA breaks and rapid cell death by binding to the DNA's minor groove. It is less dependent on cell cycle progression making it potentially useful against TICs who have lower rates of proliferation. Gemtuzumab ozogamicin and other ADCs such as inotuzumab ozogamicin in non-Hodgkin lymphoma and MDX-1203 in renal cancer are using these agents.

A potential new drug under investigation is a-amanitin, an RNA polymerase II inhibitor in the picomolar range, derived from the mushroom, Amanita phalloides. Other topoisomerase inhibitors under investigation is the SN38, the active metabolite of irinotecan. Another new category is the pyrrolobenzodiazepines (PBDs) that bind to discrete DNA sequences causing lethal lesions and have interestingly not been found to have cross-resistance with common chemotherapeutic agents.

In some cases, the drug conjugate comprises calicheamicin, Monomethyl auristatin E (MMAE), Monomethyl auristatin F (MMAF), DM1, DM3, DM4, doxorubicin, maytansine, a camptothecin analog (e.g. SN-38), PBD dimer, auristatin, duocarmycin, or maytansine.

A different approach, but in line with ADC principles, are the radioimmunoconjugates where radionuclides are the cytotoxic payloads linked to monoclonal antibodies. Two radioimmunoconjugates targeting CD20 have been approved for treatment of refractory HodHL, (Yttdum-90-ibritumomab tiuxetan and iodine-131-tositumomab). Despite its efficacy due to under-utilisation tositumomab manufacturer has discontinued its production. In solid tumours, radioimmunoconjugates are being investigated, particularly in treating minimal residual disease in prostate and

Bispecific Antibodies

In some embodiments, the disclosed composition is a bi-specific T-cell engager (BiTE) that is able to direct cytotoxic T-cells to TAG-72-expressing cancers. For example, in some cases, the disclosed scFv antibodies that bind TAG-72 are incorporated into bispecific antibodies, e.g., to engage T-cells that can kill the cancer cells. Also provided are fusion polypeptides capable of forming a bispecific engineered antibody that is able to engage T-cells to destroy TAG-72 expressing malignant cells. The engineered antibody may comprise for example, at least one scFv, at least one Fab fragment, at least one Fv fragment, etc. It may be bivalent, trivalent, tetravalent, etc. The multivalent antibodies is multispecific, e.g., bispecific, trispecific, tetraspecific, etc. The multivalent antibodies may be in any form, such as a diabody, triabody, tetrabody, etc.

Bispecific antibodies may contain a heavy chain comprising one or more variable regions and/or a light chain comprising one or more variable regions. Bispecific antibodies can be constructed using only antibody variable domains. A fairly efficient and relatively simple method is to make the linker sequence between the V_(H) and V_(L) domains so short that they cannot fold over and bind one another. Reduction of the linker length to 3-12 residues prevents the monomeric configuration of the scFv molecule and favors intermolecular VH-VL pairings with formation of a 60 kDa non-covalent scFv dimer “diabody”. The diabody format can also be used for generation of recombinant bis-pecific antibodies, which are obtained by the noncovalent association of two single-chain fusion products, consisting of the VH domain from one antibody connected by a short linker to the VL domain of another antibody. Reducing the linker length still further below three residues can result in the formation of trimers (triabody, about 90 kDa) or tetramers (‘tetrabody’, about 120 kDa). For a review of engineered antibodies, particularly single domain fragments, see Holliger and Hudson, 2005, Nature Biotechnology, 23:1126-1136. All of such engineered antibodies may be used in the fusion polypeptides provided herein.

Peptide linkers (-) suitable for production of scFv antibodies are described in Kumada Y, et al. Biochemical Engineering Journal. 2007 35(2):158-165; Albrecht H, et al. J Immunol Methods. 2006 310(1-2):100-16; Feng J, et al. J Immunol Methods. 2003 282(1-2):33-43; Griffiths A D, et al. Curr Opin Biotechnol. 1998 9(1):102-8; Huston J S, et al. Methods Enzymol. 1991 203:46-88; Bird R E, et al. Science. 1988 242(4877):423-6; Takkinen K, et al. Protein Eng. 1991 4(7):837-41; Smallshaw J E, et al. Protein Eng. 1999 12(7):623-30; Argos P. J Mol Biol. 1990 211(4):943-58; and Whitlow M, et al. Protein Eng. 1993 6(8):989-95, which are hereby incorporated by reference for the teachings of these linkers and methods of producing scFv antibodies against different targets using various linkers.

Tetravalent Tandab® may be prepared substantially as described in WO 1999057150 A3 or US20060233787, which are incorporated by reference for the teaching of methods of making Tandab® molecules.

The antigen recognition sites or entire variable regions of the engineered antibodies may be derived from one or more parental antibodies directed against any antigen of interest. The parental antibodies can include naturally occurring antibodies or antibody fragments, antibodies or antibody fragments adapted from naturally occurring antibodies, antibodies constructed de novo using sequences of antibodies or antibody fragments known to be specific for an antigen of interest. Sequences that may be derived from parental antibodies include heavy and/or light chain variable regions and/or CDRs, framework regions or other portions thereof.

The particular length of the peptide linker (--) used to join the scFv molecules together is important in determining half-life, immunogenicity, and activity of the overall construct. In some embodiments, the linker sequence (--) is 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25 or more amino acids in length. In some embodiments, the linker sequence (--) comprises GGGGS (SEQ ID NO:19). In some cases, the linker comprises 2, 3, 4, 5, or more GGGGS sequences. The linker is preferably long enough to not interfere with proper folding and association of the V_(H)-V_(L) chains but not so long as to cause added immunogenicity.

Most variations occur in the CDR3 regions therefore it is predicted that much of the specificity is dictated by sequence changes in these regions. Affinity maturation using site directed mutagenesis and phage library experiments can be used to determine high affinity TAG72 sequences. This would focus on mutations in these key regions (particularly CDR3). In some cases, the V_(H)T and V_(L)T sequences comprise one or more amino acid substitutions within the above described CDR1, CDR2, and/or CDR3 sequences, including 1, 2, or 3 amino acid substitutions. These substitutions can be assayed using routine immunoassay techniques to evaluate changes in affinity for TAG-72.

In some cases, the V_(H)I-V_(L)I scFv sequence comprises the amino acid sequence DIKLQQSGAELARPGASVKMSCKTSGYTFTRYTMHWVKQRPGQGLEWIGYINPSR GYTNYNQKFKDKATLTTDKSSSTAYMQLSSLTSEDSAVYYCARYYDDHYCLDYWG QGTTLTVSSVEGGSGGSGGSGGSGGVDDIQLTQSPAIMSASPGEKVTMTCRASSS VSYMNWYQQKSGTSPKRWIYDTSKVASGVPYRFSGSGSGTSYSLTISSM EAEDAATYYCQQWSSNPLTFGAGTKLELKHHHHHH (SEQ ID NO:20, OKT3-H6), or a fragment or variant thereof able to bind CD-3. This is a commonly used sequence of T cell activating antibodies which work through binding of a set of narrow sequences on the CD3 epsilon subunit (AAs 34, 46, 48, and 79-85). The poly histidine tag at the end of the sequence allows for purification of the artificial construct and use of his tagged fluorescence antibodies for detection.

Candidate engineered antibodies for inclusion in the fusion polypeptides, or the fusion polypeptides themselves, may be screened for activity using a variety of known assays. For example, screening assays to determine binding specificity are well known and routinely practiced in the art. For a comprehensive discussion of such assays, see Harlow et al. (Eds.), ANTIBODIES: A LABORATORY MANUAL; Cold Spring Harbor Laboratory; Cold Spring Harbor, N.Y., 1988, Chapter 6.

In some embodiments, the bispecific antibody may be subjected to an alteration to render it less immunogenic when administered to a human. Such an alteration may comprise one or more of the techniques commonly known as chimerization, humanization, CDR-grafting, deimmunization and/or mutation of framework region amino acids to correspond to the closest human germline sequence (germlining). Bispecific antibodies which have been altered will therefore remain administrable for a longer period of time with reduced or no immune response-related side effects than corresponding bispecific antibodies which have not undergone any such alteration(s). One of ordinary skill in the art will understand how to determine whether, and to what degree an antibody must be altered in order to prevent it from eliciting an unwanted host immune response.

Pharmaceutical Composition

Also disclosed is a pharmaceutical composition comprising a disclosed molecule in a pharmaceutically acceptable carrier. Pharmaceutical carriers are known to those skilled in the art. These most typically would be standard carriers for administration of drugs to humans, including solutions such as sterile water, saline, and buffered solutions at physiological pH. For example, suitable carriers and their formulations are described in Remington: The Science and Practice of Pharmacy (21 ed.) ed. PP. Gerbino, Lippincott Williams & Wilkins, Philadelphia, Pa. 2005. Typically, an appropriate amount of a pharmaceutically-acceptable salt is used in the formulation to render the formulation isotonic. Examples of the pharmaceutically-acceptable carrier include, but are not limited to, saline, Ringer's solution and dextrose solution. The pH of the solution is preferably from about 5 to about 8, and more preferably from about 7 to about 7.5. The solution should be RNAse free. Further carriers include sustained release preparations such as semipermeable matrices of solid hydrophobic polymers containing the antibody, which matrices are in the form of shaped articles, e.g., films, liposomes or microparticles. It will be apparent to those persons skilled in the art that certain carriers may be more preferable depending upon, for instance, the route of administration and concentration of composition being administered.

Pharmaceutically acceptable carriers include any and all suitable solvents, dispersion media, coatings, antibacterial and antifungal agents, isotonicity agents, antioxidants and absorption delaying agents, and the like that are physiologically compatible with a bispecific antibody of the present invention. Examples of suitable aqueous and nonaqueous carriers which may be employed in the pharmaceutical compositions of the present invention include water, saline, phosphate buffered saline, ethanol, dextrose, polyols (such as glycerol, propylene glycol, polyethylene glycol, and the like), and suitable mixtures thereof, vegetable oils, carboxymethyl cellulose colloidal solutions, tragacanth gum and injectable organic esters, such as ethyl oleate, and/or various buffers. Pharmaceutically acceptable carriers include sterile aqueous solutions or dispersions and sterile powders for the extemporaneous preparation of sterile injectable solutions or dispersion. Proper fluidity may be maintained, for example, by the use of coating materials, such as lecithin, by the maintenance of the required particle size in the case of dispersions, and by the use of surfactants.

Pharmaceutical antibodies may also comprise pharmaceutically acceptable antioxidants for instance (1) water soluble antioxidants, such as ascorbic acid, cysteine hydrochloride, sodium bisulfate, sodium metabisulfite, sodium sulfite and the like; (2) oil-soluble antioxidants, such as ascorbyl palmitate, butylated hydroxyanisole, butylated hydroxytoluene, lecithin, propyl gallate, alpha-tocopherol, and the like; and (3) metal chelating agents, such as citric acid, ethylenediamine tetraacetic acid (EDTA), sorbitol, tartaric acid, phosphoric acid, and the like.

Pharmaceutical bispecific antibodies may also comprise isotonicity agents, such as sugars, polyalcohols, such as mannitol, sorbitol, glycerol or sodium chloride in the compositions.

The pharmaceutical bispecific antibodies may also contain one or more adjuvants appropriate for the chosen route of administration such as preservatives, wetting agents, emulsifying agents, dispersing agents, preservatives or buffers, which may enhance the shelf life or effectiveness of the pharmaceutical composition. The bispecific antibodies may be prepared with carriers that will protect the bispecific antibody against rapid release, such as a controlled release formulation, including implants, transdermal patches, and microencapsulated delivery systems. Such carriers may include gelatin, glyceryl monostearate, glyceryl distearate, biodegradable, biocompatible polymers such as ethylene vinyl acetate, polyanhydrides, polyglycolic acid, collagen, polyorthoesters, and polylactic acid alone or with a wax, or other materials well known in the art. Methods for the preparation of such formulations are generally known to those skilled in the art.

Sterile injectable solutions may be prepared by incorporating the active compound in the required amount in an appropriate solvent with one or a combination of ingredients e.g. as enumerated above, as required, followed by sterilization microfiltration. Generally, dispersions are prepared by incorporating the active compound into a sterile vehicle that contains a basic dispersion medium and the required other ingredients e.g. from those enumerated above. In the case of sterile powders for the preparation of sterile injectable solutions, examples of methods of preparation are vacuum drying and freeze-drying (lyophilization) that yield a powder of the active ingredient plus any additional desired ingredient from a previously sterile-filtered solution thereof.

Also disclosed is the use of a disclosed bispecific antibody for use as a medicament for the treatment of various forms of cancer, including metastatic cancer and refractory cancer.

Methods of Treatment

Also disclosed is a method for treating a TAG-72-expressing cancer in a subject by administering to the subject a therapeutically effective amount of the disclosed pharmaceutical composition.

The disclosed compositions, including pharmaceutical composition, may be administered in a number of ways depending on whether local or systemic treatment is desired, and on the area to be treated. For example, the disclosed compositions can be administered intravenously, intraperitoneally, intramuscularly, subcutaneously, intracavity, or transdermally. The compositions may be administered orally, parenterally (e.g., intravenously), by intramuscular injection, by intraperitoneal injection, transdermally, extracorporeally, ophthalmically, vaginally, rectally, intranasally, topically or the like, including topical intranasal administration or administration by inhalant.

Parenteral administration of the composition, if used, is generally characterized by injection. Injectables can be prepared in conventional forms, either as liquid solutions or suspensions, solid forms suitable for solution of suspension in liquid prior to injection, or as emulsions. A revised approach for parenteral administration involves use of a slow release or sustained release system such that a constant dosage is maintained.

The compositions disclosed herein may be administered prophylactically to patients or subjects who are at risk for a TAG-72-expressing cancer. Thus, the method can further comprise identifying a subject at risk for a TAG-72-expressing cancer prior to administration of the herein disclosed compositions.

The exact amount of the compositions required will vary from subject to subject, depending on the species, age, weight and general condition of the subject, the severity of the allergic disorder being treated, the particular nucleic acid or vector used, its mode of administration and the like. Thus, it is not possible to specify an exact amount for every composition. However, an appropriate amount can be determined by one of ordinary skill in the art using only routine experimentation given the teachings herein. For example, effective dosages and schedules for administering the compositions may be determined empirically, and making such determinations is within the skill in the art. The dosage ranges for the administration of the compositions are those large enough to produce the desired effect in which the symptoms disorder are affected. The dosage should not be so large as to cause adverse side effects, such as unwanted cross-reactions, anaphylactic reactions, and the like. Generally, the dosage will vary with the age, condition, sex and extent of the disease in the patient, route of administration, or whether other drugs are included in the regimen, and can be determined by one of skill in the art. The dosage can be adjusted by the individual physician in the event of any counterindications. Dosage can vary, and can be administered in one or more dose administrations daily, for one or several days. Guidance can be found in the literature for appropriate dosages for given classes of pharmaceutical products. A typical daily dosage of the disclosed composition used alone might range from about 1 μg/kg to up to 100 mg/kg of body weight or more per day, depending on the factors mentioned above.

In some embodiments, the molecule is administered in a dose equivalent to parenteral administration of about 0.1 ng to about 100 g per kg of body weight, about 10 ng to about 50 g per kg of body weight, about 100 ng to about 1 g per kg of body weight, from about 1 μg to about 100 mg per kg of body weight, from about 1 μg to about 50 mg per kg of body weight, from about 1 mg to about 500 mg per kg of body weight; and from about 1 mg to about 50 mg per kg of body weight. Alternatively, the amount of molecule administered to achieve a therapeutic effective dose is about 0.1 ng, 1 ng, 10 ng, 100 ng, 1 μg, 10 μg, 100 μg, 1 mg, 2 mg, 3 mg, 4 mg, 5 mg, 6 mg, 7 mg, 8 mg, 9 mg, 10 mg, 11 mg, 12 mg, 13 mg, 14 mg, 15 mg, 16 mg, 17 mg, 18 mg, 19 mg, 20 mg, 30 mg, 40 mg, 50 mg, 60 mg, 70 mg, 80 mg, 90 mg, 100 mg, 500 mg per kg of body weight or greater.

The cancer of the disclosed methods can be any TAG-72-expressing cell in a subject undergoing unregulated growth, invasion, or metastasis. Cancers that express TAG-72 include prostate cancer, ovarian cancer, adenocarcinoma of the lung, breast cancer, endometrial cancer, gastric cancer, colon cancer, and pancreatic cancer. TAG-72 has also been found on Jurkat cells. In some aspects, the cancer is a gallbladder cancer, exocrine adenocarcinoma, or apocrine adenocarcinomas.

In some aspects, the cancer can be any neoplasm or tumor for which radiotherapy is currently used. Alternatively, the cancer can be a neoplasm or tumor that is not sufficiently sensitive to radiotherapy using standard methods. Thus, the cancer can be a sarcoma, lymphoma, leukemia, carcinoma, blastoma, or germ cell tumor. A representative but non-limiting list of cancers that the disclosed compositions can be used to treat include lymphoma, B cell lymphoma, T cell lymphoma, mycosis fungoides, Hodgkin's Disease, myeloid leukemia, bladder cancer, brain cancer, nervous system cancer, head and neck cancer, squamous cell carcinoma of head and neck, kidney cancer, lung cancers such as small cell lung cancer and non-small cell lung cancer, neuroblastoma/glioblastoma, ovarian cancer, pancreatic cancer, prostate cancer, skin cancer, liver cancer, melanoma, squamous cell carcinomas of the mouth, throat, larynx, and lung, endometrial cancer, cervical cancer, cervical carcinoma, breast cancer, epithelial cancer, renal cancer, genitourinary cancer, pulmonary cancer, esophageal carcinoma, head and neck carcinoma, large bowel cancer, hematopoietic cancers; testicular cancer; colon and rectal cancers, prostatic cancer, and pancreatic cancer.

An antibody disclosed herein may also be administered prophylactically in order to reduce the risk of developing cancer, delay the onset of the occurrence of an event in cancer progression, and/or reduce the risk of recurrence when a cancer is in remission.

The disclosed antibodies may also be administered in combination therapy, i.e., combined with other therapeutic agents relevant for the disease or condition to be treated. Accordingly, in one embodiment, the antibody-containing medicament is for combination with one or more further therapeutic agent, such as a cytotoxic, chemotherapeutic, or anti-angiogenic agent. For example, the method can further involve administering to the subject lenalidomide, or an analogue or derivative thereof.

The disclosed antibodies can be used in combination with any compound, moiety or group which has a cytotoxic or cytostatic effect. Drug moieties include chemotherapeutic agents, which may function as microtubulin inhibitors, mitosis inhibitors, topoisomerase inhibitors, or DNA intercalators, and particularly those which are used for cancer therapy.

The disclosed antibodies can be used in combination with a checkpoint inhibitor. The two known inhibitory checkpoint pathways involve signaling through the cytotoxic T-lymphocyte antigen-4 (CTLA-4) and programmed-death 1 (PD-1) receptors. These proteins are members of the CD28-B7 family of cosignaling molecules that play important roles throughout all stages of T cell function. The PD-1 receptor (also known as CD279) is expressed on the surface of activated T cells. Its ligands, PD-L1 (B7-HI; CD274) and PD-L2 (B7-DC; CD273), are expressed on the surface of APCs such as dendritic cells or macrophages. PD-L1 is the predominant ligand, while PD-L2 has a much more restricted expression pattern. When the ligands bind to PD-1, an inhibitory signal is transmitted into the T cell, which reduces cytokine production and suppresses T-cell proliferation. Checkpoint inhibitors include, but are not limited to antibodies that block PD-1 (Nivolumab (BMS-936558 or MDX1106), CT-011, MK-3475), PD-L1 (MDX-1105 (BMS-936559), MPDL3280A, MSB0010718C), PD-L2 (rHIgM12B7), CTLA-4 (Ipilimumab (MDX-010), Tremelimumab (CP-675,206)), IDO, B7-H3 (MGA271), B7-H4, TIM3, LAG-3 (BMS-986016).

Human monoclonal antibodies to programmed death I (PD-1) and methods for treating cancer using anti-PD-1 antibodies alone or in combination with other immunotherapeutics are described in U.S. Pat. No. 8,008,449, which is incorporated by reference for these antibodies. Anti-PD-L1 antibodies and uses therefor are described in U.S. Pat. No. 8,552,154, which is incorporated by reference for these antibodies. Anticancer agent comprising anti-PD-1 antibody or anti-PD-L1 antibody are described in U.S. Pat. No. 8,617,546, which is incorporated by reference for these antibodies.

In some embodiments, the PDL1 inhibitor comprises an antibody that specifically binds PDL1, such as BMS-936559 (Bristol-Myers Squibb) or MPDL3280A (Roche). In some embodiments, the PD1 inhibitor comprises an antibody that specifically binds PD1, such as lambrolizumab (Merck), nivolumab (Bristol-Myers Squibb), or MED14736 (AstraZeneca). Human monoclonal antibodies to PD-1 and methods for treating cancer using anti-PD-1 antibodies alone or in combination with other immunotherapeutics are described in U.S. Pat. No. 8,008,449, which is incorporated by reference for these antibodies. Anti-PD-L1 antibodies and uses therefor are described in U.S. Pat. No. 8,552,154, which is incorporated by reference for these antibodies. Anticancer agent comprising anti-PD-1 antibody or anti-PD-L1 antibody are described in U.S. Pat. No. 8,617,546, which is incorporated by reference for these antibodies.

The disclosed antibodies can be used in combination with other cancer immunotherapies. There are two distinct types of immunotherapy: passive immunotherapy uses components of the immune system to direct targeted cytotoxic activity against cancer cells, without necessarily initiating an immune response in the patient, while active immunotherapy actively triggers an endogenous immune response. Passive strategies include the use of the monoclonal antibodies (mAbs) produced by B cells in response to a specific antigen. The development of hybridoma technology in the 1970s and the identification of tumor-specific antigens permitted the pharmaceutical development of mAbs that could specifically target tumor cells for destruction by the immune system. Thus far, mAbs have been the biggest success story for immunotherapy; the top three best-selling anticancer drugs in 2012 were mAbs. Among them is rituximab (Rituxan, Genentech), which binds to the CD20 protein that is highly expressed on the surface of B cell malignancies such as non-Hodgkin's lymphoma (NHL). Rituximab is approved by the FDA for the treatment of NHL and chronic lymphocytic leukemia (CLL) in combination with chemotherapy. Another important mAb is trastuzumab (Herceptin; Genentech), which revolutionized the treatment of HER2 (human epidermal growth factor receptor 2)-positive breast cancer by targeting the expression of HER2.

Generating optimal “killer” CD8 T cell responses also requires T cell receptor activation plus co-stimulation, which can be provided through ligation of tumor necrosis factor receptor family members, including OX40 (CD134) and 4-1 BB (CD137). OX40 is of particular interest as treatment with an activating (agonist) anti-OX40 mAb augments T cell differentiation and cytolytic function leading to enhanced anti-tumor immunity against a variety of tumors.

In some embodiments, such an additional therapeutic agent may be selected from an antimetabolite, such as methotrexate, 6-mercaptopurine, 6-thioguanine, cytarabine, fludarabine, 5-fluorouracil, decarbazine, hydroxyurea, asparaginase, gemcitabine or cladribine.

In some embodiments, such an additional therapeutic agent may be selected from an alkylating agent, such as mechlorethamine, thioepa, chlorambucil, melphalan, carmustine (BSNU), lomustine (CCNU), cyclophosphamide, busulfan, dibromomannitol, streptozotocin, dacarbazine (DTIC), procarbazine, mitomycin C, cisplatin and other platinum derivatives, such as carboplatin.

In some embodiments, such an additional therapeutic agent may be selected from an anti-mitotic agent, such as taxanes, for instance docetaxel, and paclitaxel, and vinca alkaloids, for instance vindesine, vincristine, vinblastine, and vinorelbine.

In some embodiments, such an additional therapeutic agent may be selected from a topoisomerase inhibitor, such as topotecan or irinotecan, or a cytostatic drug, such as etoposide and teniposide.

In some embodiments, such an additional therapeutic agent may be selected from a growth factor inhibitor, such as an inhibitor of ErbBI (EGFR) (such as an EGFR antibody, e.g. zalutumumab, cetuximab, panitumumab or nimotuzumab or other EGFR inhibitors, such as gefitinib or erlotinib), another inhibitor of ErbB2 (HER2/neu) (such as a HER2 antibody, e.g. trastuzumab, trastuzumab-DM I or pertuzumab) or an inhibitor of both EGFR and HER2, such as lapatinib).

In some embodiments, such an additional therapeutic agent may be selected from a tyrosine kinase inhibitor, such as imatinib (Glivec, Gleevec ST1571) or lapatinib.

Therefore, in some embodiments, a disclosed antibody is used in combination with ofatumumab, zanolimumab, daratumumab, ranibizumab, nimotuzumab, panitumumab, hu806, daclizumab (Zenapax), basiliximab (Simulect), infliximab (Remicade), adalimumab (Humira), natalizumab (Tysabnr), omalizumab (Xolair), efalizumab (Raptiva), and/or rituximab.

In some embodiments, a therapeutic agent for use in combination with a bispecific antibody for treating the disorders as described above may be an anti-cancer immunogen, such as a cancer antigen/tumor-associated antigen (e.g., epithelial cell adhesion molecule (EpCAM/TACSTDI), mucin 1 (MUC1), carcinoembryonic antigen (CEA), tumor-associated glycoprotein 72 (TAG-72), gplOO, Melan-A, MART-1, KDR, RCASI, MDA7, cancer-associated viral vaccines (e.g., human papillomavirus vaccines) or tumor-derived heat shock proteins.

In some embodiments, a therapeutic agent for use in combination with a bispecific antibody for treating the disorders as described above may be an anti-cancer cytokine, chemokine, or combination thereof. Examples of suitable cytokines and growth factors include IFNy, IL-2, IL-4, IL-6, IL-7, IL-10, IL-12, IL-13, IL-15, IL-18, IL-23, IL-24, IL-27, IL-28a, IL-28b, IL-29, KGF, IFNa (e.g., INFa2b), IFN, GM-CSF, CD40L, FIt3 ligand, stem cell factor, ancestim, and TNFa. Suitable chemokines may include Glu-Leu-Arg (ELR)-negative chemokines such as IP-10, MCP-3, MIG, and SDF-la from the human CXC and C—C chemokine families. Suitable cytokines include cytokine derivatives, cytokine variants, cytokine fragments, and cytokine fusion proteins.

In some embodiments, a therapeutic agent for use in combination with a bispecific antibody for treating the disorders as described above may be a cell cycle control/apoptosis regulator (or “regulating agent”). A cell cycle control/apoptosis regulator may include molecules that target and modulate cell cycle control/apoptosis regulators such as (i) cdc-25 (such as NSC 663284), (ii) cyclin-dependent kinases that overstimulate the cell cycle (such as flavopiridol (L868275, HMR1275), 7-hydroxystaurosporine (UCN-01, KW-2401), and roscovitine (R-roscovitine, CYC202)), and (iii) telomerase modulators (such as BIBR1532, SOT-095, GRN163 and compositions described in for instance U.S. Pat. Nos. 6,440,735 and 6,713,055). Non-limiting examples of molecules that interfere with apoptotic pathways include TNF-related apoptosis-inducing ligand (TRAIL)/apoptosis-2 ligand (Apo-2L), antibodies that activate TRAIL receptors, IFNs, and anti-sense Bcl-2.

In some embodiments, a therapeutic agent for use in combination with a bispecific antibody for treating the disorders as described above may be a hormonal regulating agent, such as agents useful for anti-androgen and anti-estrogen therapy. Examples of such hormonal regulating agents are tamoxifen, idoxifene, fulvestrant, droloxifene, toremifene, raloxifene, diethylstilbestrol, ethinyl estradiol/estinyl, an antiandrogene (such as flutaminde/eulexin), a progestin (such as such as hydroxyprogesterone caproate, medroxy-progesterone/provera, megestrol acepate/megace), an adrenocorticosteroid (such as hydrocortisone, prednisone), luteinizing hormone-releasing hormone (and analogs thereof and other LHRH agonists such as buserelin and goserelin), an aromatase inhibitor (such as anastrazole/arimidex, aminoglutethimide/cytraden, exemestane) or a hormone inhibitor (such as octreotide/sandostatin).

In some embodiments, a therapeutic agent for use in combination with an antibody for treating the disorders as described above may be an anti-cancer nucleic acid or an anti-cancer inhibitory RNA molecule.

Combined administration, as described above, may be simultaneous, separate, or sequential. For simultaneous administration the agents may be administered as one composition or as separate compositions, as appropriate.

In some embodiments, the disclosed bispecific is administered in combination with radiotherapy. Radiotherapy may comprise radiation or associated administration of radiopharmaceuticals to a patient is provided. The source of radiation may be either external or internal to the patient being treated (radiation treatment may, for example, be in the form of external beam radiation therapy (EBRT) or brachytherapy (BT)). Radioactive elements that may be used in practicing such methods include, e.g., radium, cesium-137, iridium-192, americium-241, gold-198, cobalt-57, copper-67, technetium-99, iodide-123, iodide-131, and indium-111.

In some embodiments, the disclosed bispecific antibody is administered in combination with surgery.

Definitions

The term “antibody” refers to an immunoglobulin, derivatives thereof which maintain specific binding ability, and proteins having a binding domain which is homologous or largely homologous to an immunoglobulin binding domain. These proteins may be derived from natural sources, or partly or wholly synthetically produced. An antibody may be monoclonal or polyclonal. The antibody may be a member of any immunoglobulin class from any species, including any of the human classes: IgG, IgM, IgA, IgD, and IgE. In exemplary embodiments, antibodies used with the methods and compositions described herein are derivatives of the IgG class. In addition to intact immunoglobulin molecules, also included in the term “antibodies” are fragments or polymers of those immunoglobulin molecules, and human or humanized versions of immunoglobulin molecules that selectively bind the target antigen.

The term “antibody fragment” refers to any derivative of an antibody which is less than full-length. In exemplary embodiments, the antibody fragment retains at least a significant portion of the full-length antibody's specific binding ability. Examples of antibody fragments include, but are not limited to, Fab, Fab′, F(ab′)2, scFv, Fv, dsFv diabody, Fc, and Fd fragments. The antibody fragment may be produced by any means. For instance, the antibody fragment may be enzymatically or chemically produced by fragmentation of an intact antibody, it may be recombinantly produced from a gene encoding the partial antibody sequence, or it may be wholly or partially synthetically produced. The antibody fragment may optionally be a single chain antibody fragment. Alternatively, the fragment may comprise multiple chains which are linked together, for instance, by disulfide linkages. The fragment may also optionally be a multimolecular complex. A functional antibody fragment will typically comprise at least about 50 amino acids and more typically will comprise at least about 200 amino acids.

The term “antigen binding site” refers to a region of an antibody that specifically binds an epitope on an antigen.

The term “bispecific antibody” refers to an antibody having two different antigen-binding regions defined by different antibody sequences. This can be understood as different target binding but includes as well binding to different epitopes in one target.

The term “carrier” means a compound, composition, substance, or structure that, when in combination with a compound or composition, aids or facilitates preparation, storage, administration, delivery, effectiveness, selectivity, or any other feature of the compound or composition for its intended use or purpose. For example, a carrier can be selected to minimize any degradation of the active ingredient and to minimize any adverse side effects in the subject.

The term “engineered antibody” refers to a recombinant molecule that comprises at least an antibody fragment comprising an antigen binding site derived from the variable domain of the heavy chain and/or light chain of an antibody and may optionally comprise the entire or part of the variable and/or constant domains of an antibody from any of the Ig classes (for example IgA, IgD, IgE, IgG, IgM and IgY).

The term “epitope” refers to the region of an antigen to which an antibody binds preferentially and specifically. A monoclonal antibody binds preferentially to a single specific epitope of a molecule that can be molecularly defined. In the present invention, multiple epitopes can be recognized by a multispecific antibody.

A “fusion protein” or “fusion polypeptide” refers to a hybrid polypeptide which comprises polypeptide portions from at least two different polypeptides. The portions may be from proteins of the same organism, in which case the fusion protein is said to be “intraspecies”, “intragenic”, etc. In various embodiments, the fusion polypeptide may comprise one or more amino acid sequences linked to a first polypeptide. In the case where more than one amino acid sequence is fused to a first polypeptide, the fusion sequences may be multiple copies of the same sequence, or alternatively, may be different amino acid sequences. A first polypeptide may be fused to the N-terminus, the C-terminus, or the N- and C-terminus of a second polypeptide. Furthermore, a first polypeptide may be inserted within the sequence of a second polypeptide.

The term “Fab fragment” refers to a fragment of an antibody comprising an antigen-binding site generated by cleavage of the antibody with the enzyme papain, which cuts at the hinge region N-terminally to the inter-H-chain disulfide bond and generates two Fab fragments from one antibody molecule.

The term “F(ab′)2 fragment” refers to a fragment of an antibody containing two antigen-binding sites, generated by cleavage of the antibody molecule with the enzyme pepsin which cuts at the hinge region C-terminally to the inter-H-chain disulfide bond.

The term “Fc fragment” refers to the fragment of an antibody comprising the constant domain of its heavy chain.

The term “Fv fragment” refers to the fragment of an antibody comprising the variable domains of its heavy chain and light chain.

“Gene construct” refers to a nucleic acid, such as a vector, plasmid, viral genome or the like which includes a “coding sequence” for a polypeptide or which is otherwise transcribable to a biologically active RNA (e.g., antisense, decoy, ribozyme, etc), may be transfected into cells, e.g. in certain embodiments mammalian cells, and may cause expression of the coding sequence in cells transfected with the construct. The gene construct may include one or more regulatory elements operably linked to the coding sequence, as well as intronic sequences, polyadenylation sites, origins of replication, marker genes, etc.

The term “isolated polypeptide” refers to a polypeptide, which may be prepared from recombinant DNA or RNA, or be of synthetic origin, some combination thereof, or which may be a naturally-occurring polypeptide, which (1) is not associated with proteins with which it is normally associated in nature, (2) is isolated from the cell in which it normally occurs, (3) is essentially free of other proteins from the same cellular source, (4) is expressed by a cell from a different species, or (5) does not occur in nature.

The term “isolated nucleic acid” refers to a polynucleotide of genomic, cDNA, synthetic, or natural origin or some combination thereof, which (1) is not associated with the cell in which the “isolated nucleic acid” is found in nature, or (2) is operably linked to a polynucleotide to which it is not linked in nature.

The term “linker” is art-recognized and refers to a molecule or group of molecules connecting two compounds, such as two polypeptides. The linker may be comprised of a single linking molecule or may comprise a linking molecule and a spacer molecule, intended to separate the linking molecule and a compound by a specific distance.

The term “multivalent antibody” refers to an antibody or engineered antibody comprising more than one antigen recognition site. For example, a “bivalent” antibody has two antigen recognition sites, whereas a “tetravalent” antibody has four antigen recognition sites. The terms “monospecific”, “bispecific”, “trispecific”, “tetraspecific”, etc. refer to the number of different antigen recognition site specificities (as opposed to the number of antigen recognition sites) present in a multivalent antibody. For example, a “monospecific” antibody's antigen recognition sites all bind the same epitope. A “bispecific” antibody has at least one antigen recognition site that binds a first epitope and at least one antigen recognition site that binds a second epitope that is different from the first epitope. A “multivalent monospecific” antibody has multiple antigen recognition sites that all bind the same epitope. A “multivalent bispecific” antibody has multiple antigen recognition sites, some number of which bind a first epitope and some number of which bind a second epitope that is different from the first epitope.

The term “nucleic acid” refers to a polymeric form of nucleotides, either ribonucleotides or deoxynucleotides or a modified form of either type of nucleotide. The terms should also be understood to include, as equivalents, analogs of either RNA or DNA made from nucleotide analogs, and, as applicable to the embodiment being described, single-stranded (such as sense or antisense) and double-stranded polynucleotides.

The term “pharmaceutically acceptable” refers to those compounds, materials, compositions, and/or dosage forms which are, within the scope of sound medical judgment, suitable for use in contact with the tissues of human beings and animals without excessive toxicity, irritation, allergic response, or other problems or complications commensurate with a reasonable benefit/risk ratio.

As used herein, “peptidomimetic” means a mimetic of a peptide which includes some alteration of the normal peptide chemistry. Peptidomimetics typically enhance some property of the original peptide, such as increase stability, increased efficacy, enhanced delivery, increased half life, etc. Methods of making peptidomimetics based upon a known polypeptide sequence is described, for example, in U.S. Pat. Nos. 5,631,280; 5,612,895; and 5,579,250. Use of peptidomimetics can involve the incorporation of a non-amino acid residue with non-amide linkages at a given position. One embodiment of the present invention is a peptidomimetic wherein the compound has a bond, a peptide backbone or an amino acid component replaced with a suitable mimic. Some non-limiting examples of unnatural amino acids which may be suitable amino acid mimics include β-alanine, L-α-amino butyric acid, L-γ-amino butyric acid, L-α-amino isobutyric acid, L-ε-amino caproic acid, 7-amino heptanoic acid, L-aspartic acid, L-glutamic acid, N-ε-Boc-N-α-CBZ-L-lysine, N-ε-Boc-N-α-Fmoc-L-lysine, L-methionine sulfone, L-norleucine, L-norvaline, N-α-Boc-N-δCBZ-L-omithine, N-δ-Boc-N-α-CBZ-L-omithine, Boc-p-nitro-L-phenylalanine, Boc-hydroxyproline, and Boc-L-thioproline.

The term “protein” (if single-chain), “polypeptide” and “peptide” are used interchangeably herein when referring to a gene product, e.g., as may be encoded by a coding sequence. When referring to “polypeptide” herein, a person of skill in the art will recognize that a protein can be used instead, unless the context clearly indicates otherwise. A “protein” may also refer to an association of one or more polypeptides. By “gene product” is meant a molecule that is produced as a result of transcription of a gene. Gene products include RNA molecules transcribed from a gene, as well as proteins translated from such transcripts.

The terms “polypeptide fragment” or “fragment”, when used in reference to a particular polypeptide, refers to a polypeptide in which amino acid residues are deleted as compared to the reference polypeptide itself, but where the remaining amino acid sequence is usually identical to that of the reference polypeptide. Such deletions may occur at the amino-terminus or carboxy-terminus of the reference polypeptide, or alternatively both. Fragments typically are at least about 5, 6, 8 or 10 amino acids long, at least about 14 amino acids long, at least about 20, 30, 40 or 50 amino acids long, at least about 75 amino acids long, or at least about 100, 150, 200, 300, 500 or more amino acids long. A fragment can retain one or more of the biological activities of the reference polypeptide. In various embodiments, a fragment may comprise an enzymatic activity and/or an interaction site of the reference polypeptide. In another embodiment, a fragment may have immunogenic properties.

The term “single chain variable fragment or scFv” refers to an Fv fragment in which the heavy chain domain and the light chain domain are linked. One or more scFv fragments may be linked to other antibody fragments (such as the constant domain of a heavy chain or a light chain) to form antibody constructs having one or more antigen recognition sites.

The term “specifically binds”, as used herein, when referring to a polypeptide (including antibodies) or receptor, refers to a binding reaction which is determinative of the presence of the protein or polypeptide or receptor in a heterogeneous population of proteins and other biologics. Thus, under designated conditions (e.g. immunoassay conditions in the case of an antibody), a specified ligand or antibody “specifically binds” to its particular “target” (e.g. an antibody specifically binds to an endothelial antigen) when it does not bind in a significant amount to other proteins present in the sample or to other proteins to which the ligand or antibody may come in contact in an organism. Generally, a first molecule that “specifically binds” a second molecule has an affinity constant (Ka) greater than about 10⁵ M⁻¹ (e.g., 10⁶ M⁻¹, 10⁷ M⁻¹, 10⁸ M⁻¹, 10⁹ M⁻¹, 10¹⁰ M⁻¹, 10¹¹ M⁻¹, and 10¹² M⁻¹ or more) with that second molecule.

The term “specifically deliver” as used herein refers to the preferential association of a molecule with a cell or tissue bearing a particular target molecule or marker and not to cells or tissues lacking that target molecule. It is, of course, recognized that a certain degree of non-specific interaction may occur between a molecule and a non-target cell or tissue. Nevertheless, specific delivery, may be distinguished as mediated through specific recognition of the target molecule. Typically specific delivery results in a much stronger association between the delivered molecule and cells bearing the target molecule than between the delivered molecule and cells lacking the target molecule.

The term “subject” refers to any individual who is the target of administration or treatment. The subject can be a vertebrate, for example, a mammal. Thus, the subject can be a human or veterinary patient. The term “patient” refers to a subject under the treatment of a clinician, e.g., physician.

The term “therapeutically effective” refers to the amount of the composition used is of sufficient quantity to ameliorate one or more causes or symptoms of a disease or disorder. Such amelioration only requires a reduction or alteration, not necessarily elimination.

The term “treatment” refers to the medical management of a patient with the intent to cure, ameliorate, stabilize, or prevent a disease, pathological condition, or disorder. This term includes active treatment, that is, treatment directed specifically toward the improvement of a disease, pathological condition, or disorder, and also includes causal treatment, that is, treatment directed toward removal of the cause of the associated disease, pathological condition, or disorder. In addition, this term includes palliative treatment, that is, treatment designed for the relief of symptoms rather than the curing of the disease, pathological condition, or disorder preventative treatment, that is, treatment directed to minimizing or partially or completely inhibiting the development of the associated disease, pathological condition, or disorder and supportive treatment, that is, treatment employed to supplement another specific therapy directed toward the improvement of the associated disease, pathological condition, or disorder.

A number of embodiments of the invention have been described. Nevertheless, it will be understood that various modifications may be made without departing from the spirit and scope of the invention. Accordingly, other embodiments are within the scope of the following claims.

A number of embodiments of the invention have been described. Nevertheless, it will be understood that various modifications may be made without departing from the spirit and scope of the invention. Accordingly, other embodiments are within the scope of the following claims.

A number of embodiments of the invention have been described. Nevertheless, it will be understood that various modifications may be made without departing from the spirit and scope of the invention. Accordingly, other embodiments are within the scope of the following claims.

EXAMPLES Example 1: Affinity Maturation of TAG-72 scSv Antibody

Based on the sequence for TAG-72 antibody and a choice of linker, the following two scFv constructs were produced:

Ab3890 (VH-linker-VL) - (SEQ ID NO: 21) QVQLQQSDAELVKPGASVKISCKASGYTFTDHAIHWVKQNPEQGLEWIGY FSPGNDDFKYNERFKGKATLTADKSSSTAYVQLNSLTSEDSAVYFCTRSL NMAYWGQGTSVTVSSLSADDAKKDAAKKDDAKKDDAKKDLDIVMSQSPSS LPVSVGEKVTLSCKSSQSLLYSGNQKNYLAWYQQKPGQSPKLLIYWASAR ESGVPDRFTGSGSGTDFTLSISSVKTEDLAVYYCQQYYSYPLTFGAGTKL VLK; and Ab3890 (VL-linker-VH) - (SEQ ID NO: 22) DIVMSQSPSSLPVSVGEKVTLSCKSSQSLLYSGNQKNYLAWYQQKPGQSP KLLIYWASARESGVPDRFTGSGSGTDFTLSISSVKTEDLAVYYCQQYYSY PLTFGAGTKLVLKLSADDAKKDAAKKDDAKKDDAKKDLQVQLQQSDAELV KPGASVKISCKASGYTFTDHAIHWVKQNPEQGLEWIGYFSPGNDDFKYNE RFKGKATLTADKSSSTAYVQLNSLTSEDSAVYFCTRSLNMAYWGQGTSVT VSS.

scFvs were cloned into a vector and produced as purified protein and phage. Both scFvs were successfully purified.

Antigen S was re-suspended according to manufacturer's instructions. 1 mg of the Antigen S was biotinylated using amine coupling kit (EZ Link Biotinylation kit, Thermo, 21955). Protein was analyzed by TruHits assay (to evaluate biotinylation) and SDS-PAGE, and successful biotinylation was confirmed.

As shown in FIGS. 1A and 1B, both scFvs bound to biotinylated and unmodified antigen S. All scFvs were used at 1 μg/ml. The secondary antibody was anti-FLAG-HRP (Abcam, ab49763, 1:5000).

However, as shown in FIGS. 2A and 2B, Ab3891 had a better phage binding profile than Ab3890. The secondary antibody was anti-m13-HRP (GE Healthcare, 27-9521, 1:5000). Therefore, Ab3891 was selected for affinity maturation.

Standard mutagenesis library was prepared from Ab3891 and quality controlled by sequencing. The library was screened through 3 rounds of affinity maturation using standard protocol. Biotinylated Antigen S was used as the target. The following three unique clones with CDR mutations were identified:

Ab4116 - (SEQ ID NO: 16) DIVMSQSPSSLPVSVGEKVTLSCKSSQSLLYSGNHKNYLAWYQQKPGQSP KLLIYWASARESGVPDRFTGSGSGTDFTLSISSVKTEDLAVYYCQQYYSY PLTFGAGTKLVLKLSADDAKKDAAKKDDAKKDDAKKDLQVQLQQSDAELV KPGASVKISCKASGYTFTDHAIHWVKQNPEQGLEWIGYFSPGNDDFRYNE RFKGKATLTADKSSSTAYVQLNSLTSEDSAVYFCTRSLNMAYWGQGTSVT VSS, Ab4117 - (SEQ ID NO: 17) DIVMSQSPSSLPVSVGEKVTLSCKSSQSLLYSGNQKNYLAWYQQKPGQSP KLLIYWASARESGVPDRFTGSGSGTDFTLSISSVKTEDLAVYYCQQYYSY PLTFGAGTKLVLKLSADDAKKDAAKKDDAKKDDAKKGLQVQLQQSDAELV KPGASVKISCKASGYTFTDHAIHWVKQNPEQGLEWIGYFSPGNDDFKYNE RYKGKATLTADKSSSTAYVQLNSLTSEDSAVYFCTRSLNMAYWGQGTSVT VSS, Ab4118 - (SEQ ID NO: 18) DIVMSQSPSSLPVSVGEKVTLSCKSSQSLLYSGNQKNYLAWYQQKPGQSP KLLIYWASARESGVPDRFTGSGSGTDFTLSISSVKTEDLAVYYCQQYYSY PLTFGAGTKLVLKLSADDAKKDAAKKDDAKKDDAKKDLQVQLQQSDAELV KPGASVKISCKASGYTFTDHAIHWVKQNPEQGLEWIGYFSPGNNDFKYNE RFKGKATLTADKSSSTAYVQLNSLTSEDSAVYFCTRSLNMAYWGQGTSVT VSS.

As shown in FIGS. 3A and 3B, all matured clones shows moderate improvement compared to Ab3891 when evaluated by traditional ELISA. All scFvs were used at 1 μg/ml. The secondary antibody was anti-FLAG-HRP (Abcam, ab49763, 1:5000).

FIGS. 4A to 4D show KD determination of the four scFvs by Alpha Screen. Based on this assay, there was a 3-6 fold improvement (FIG. 1A, Ab3891, 64.4 nM) (FIG. 1B, Ab4116, 15.3 nM) (FIG. 1C, Ab4117, 9.9 nM), (FIG. 1D, Ab4118, 21.3 nM). Therefore, the best clone was Ab4117 with a 6 fold affinity improvement achieved.

Example 2

FIGS. 5 to 96 are flow cytometry plots testing the disclosed bispecific antibodies. Table 1 summarizes flow cytometry results measuring apoptosis with annexin V and PI in gated populations of MCF-7 and MDA-231 cells treated with human CD8 T cells with bi-specific antibodies plus or minus the photosensitizing compound verteporfin. Verteporfin was investigated as an immune stimulating agent to be used in conjunction with our bispecific antibody since it demonstrated an ability to reduce tumor cell programmed cell death ligand 1 (PDL1) surface expression. Table 2 shows ELISA validation results of antibody clones. Table 3 shows percentage of antibody binding to MCF-7 (CC49+ve facs sorted cells) using anti 6×-His-tag Ab by flow cytometry. Table 4 shows results of cytotoxicity assay in MCF-7 cells treated with human CD8 T cells with bi-specific antibodies.

TABLE 1 (%) decline in viable cells Control as compared to Cell line group (%) Exp. group (%) control group MCF-7 CD8 only (28.2) CD8 + BiTe (5 μg/ml) 56.38 (12.3) CD8+ Vs (1 μM) CD8 + BiTe (5 μg/ml) + 58.94 (19) Vs (1 μM) (7.80) CD8+ Vs (2 μM) CD8 + BiTe (5 μg/ml) + 53.98 (13.3) Vs (2 μM) (6.12) CD8+ Vs (5 μM) CD8 + BiTe (5 μg/ml) + 76.56 (7.51) Vs (5 μM) (1.76) MDA-231 CD8 only (57.5) CD8 + BiTe (5 μg/ml) 28.86 (40.9) CD8+ Vs (1 μM) CD8 + BiTe (5 μg/ml) + 57.5 (56.3) Vs (1 μM) (23.9) CD8+ Vs (2 μM) CD8 + BiTe (5 μg/ml) + 53.13 (57.4) Vs (2 μM) (26.9) CD8+ Vs (5 μM) CD8 + BiTe (5 μg/ml) + 66.18 (55.3) Vs (5 μM) (18.7)

TABLE 2 ELISA validation of Ab clones Ab3891 Ab4116 Ab4117 Ab4118 Ab3891 Ab4116 Ab4117 Ab4118 500 ng 0.994 0.846 0.909 0.97 0.35 0.32 0.336 0.339 250 ng 0.722 0.451 0.588 0.662 0.336 0.186 0.24 0.284 125 ng 0.639 0.451 0.473 0.496 0.292 0.221 0.272 0.286 62.5 ng  0.408 0.277 0.288 0.321 0.216 0.106 0.17 0.194 31.25 ng   0.247 0.168 0.164 0.21 0.192 0.109 0.13 0.168 15.625 ng   0.15 0.098 0.113 0.097 0.11 0.081 0.087 0.112 7.81 ng  0.119 0.083 0.082 0.082 0.09 0.056 0.072 0.084 NC 0.065 0.047 0.05 0.047 0.042 0.033 0.035 0.032 Mucin TAG-72

TABLE 3 % of Ab binding to MCF-7 (CC49+ve facs sorted cells) using anti 6X-His-tag Ab by Flow Ab clones % His-tag expression CD8 + Ab (old pilot) (5 μg/ml) 24.7 CD8 + Ab4116 (new pilot) (5 μg/ml) 8.28 CD8 + Ab4117 (5 μg/ml) 15.7 CD8 + Ab4118 (5 μg/ml) 28.9 CD8 + Ab3891 (5 μg/ml) 27.6

TABLE 4 Cytotoxicity assay by Flow (%) decline in viable cells Cell Control as compared to control line group (%) Exp. group (%) (CD8 only) group MCF-7 CD8 only CD8 + Ab (old pilot) 61.9 (35.46) (5 μg/ml) (13.5) CD8 + Ab4116 (new 58.2 pilot) (5 μg/ml) (14.8) CD8 + Ab4117 54.8 (5 μg/ml) (16.0) CD8 + Ab4118 74.0 (5 μg/ml) (9.21) CD8 + Ab3891 73.26 (5 μg/ml) (9.48)

Unless defined otherwise, all technical and scientific terms used herein have the same meanings as commonly understood by one of skill in the art to which the disclosed invention belongs. Publications cited herein and the materials for which they are cited are specifically incorporated by reference.

Those skilled in the art will recognize, or be able to ascertain using no more than routine experimentation, many equivalents to the specific embodiments of the invention described herein. Such equivalents are intended to be encompassed by the following claims. 

1. A single chain variable fragment (scFv) TAG-72 antibody, comprising a variable heavy (V_(H)) domain having CDR1, CDR2 and CDR3 sequences and a variable light (V_(L)) domain having CDR1, CDR2 and CDR3 sequences, wherein the CDR1 sequence of the V_(H) domain comprises the amino acid sequence DHAIH (SEQ ID NO:1), wherein the CDR2 sequence of the V_(H) domain has an amino acid sequence selected from the group consisting of WIGYFSPGNDDFRYNERFKG (SEQ ID NO:3), WIGYFSPGNDDFKYNERYKG (SEQ ID NO:4), and WIGYFSPGNNDFKYNERFKG (SEQ ID NO:5), wherein the CDR3 sequence of the V_(H) domain comprises the amino acid sequence LNMAY (SEQ ID NO:2), wherein the CDR1 sequence of the V_(L) domain has an amino acid sequence selected from the group consisting of KSSQSLLYSGNQKNYLA (SEQ ID NO:9) and KSSQSLLYSGNHKNYLA (SEQ ID NO:12), wherein the CDR2 sequence of the V_(L) domain comprises the amino acid sequence WASARES (SEQ ID NO:10), and wherein the CDR3 sequence of the V_(L) domain comprises the amino acid sequence KSSQSLLYSGNHKNYLA (SEQ ID NO:12), wherein when the CDR2 sequence of the V_(H) domain has the amino acid sequence SEQ ID NO:3, the CDR1 sequence of the V_(L) domain has the amino acid sequence SEQ ID NO:12.
 2. The antibody of claim 1, wherein the V_(H) domain comprises the amino acid sequence SEQ ID NO:6, SEQ ID NO:7, or SEQ ID NO:8.
 3. The antibody of claim 1, wherein the V_(L) domain comprises the amino acid sequence SEQ ID NO:13 or SEQ ID NO:14.
 4. The antibody of claim 1, comprising a peptide linker between the V_(H) and V_(L) domains comprising the amino acid sequence SEQ ID NO:15
 5. The antibody of claim 1, comprising an amino acid sequence selected from the group consisting of SEQ ID NO:16, SEQ ID NO:17, and SEQ ID NO:18.
 6. A bispecific antibody comprising a single polypeptide chain comprising a first antigen-binding region and a second antigen-binding region, wherein the first antigen-binding region is capable of recruiting the activity of a human immune effector cell by specifically binding to an immune cell antigen located on the human immune effector cell, and wherein the second antigen-binding region comprises the antibody of claim
 1. 7. The bispecific antibody of claim 6, wherein the human effector cell is a member of the human lymphoid lineage.
 8. The bispecific antibody of claim 6, wherein the effector cell is capable of exerting a cytotoxic or an apoptotic effect on a target cell.
 9. The bispecific antibody of claim 8, wherein the immune cell antigen is selected from the group consisting of human CD3 antigen, the human CD16 antigen, the human NKG2D antigen, the human CD2 antigen, the human CD28 antigen and the human CD25 antigen.
 10. The bispecific antibody of claim 6, wherein the human effector cell is a member of the human myeloid lineage.
 11. The bispecific antibody of claim 10, wherein the human effector cell is capable of exerting a cytotoxic or an apoptotic effect on a target cell.
 12. The bispecific antibody of claim 11, wherein the immune cell antigen is chosen from one or more of the human CD64 antigen or the human CD89 antigen.
 13. A pharmaceutical composition comprising the antibody of claim 1 in a pharmaceutically acceptable carrier.
 14. A method for treating cancer in a subject, comprising administering to the subject a therapeutically effective amount of the pharmaceutical composition of claim
 13. 15. The method of claim 14, further comprising administering to the subject a checkpoint inhibitor.
 16. The method of claim 15, wherein the checkpoint inhibitor comprises an anti-PD-1 antibody, anti-PD-L1 antibody, anti-CTLA-4 antibody, or a combination thereof.
 17. An isolated nucleic acid encoding the antibody of claim
 1. 